Republicans Push Ahead on Medicaid Restrictions
The Trump administration on Friday approved Ohio’s request to impose work requirements on Medicaid recipients. Starting in 2021, the state will require most able-bodied adults aged 19 to 49 to either work, go to school, be in job training or volunteer for 80 hours a month in order to receive Medicaid benefits. Those who fail to meet the requirements over 60 days will be removed from the system, although they can reapply immediately.
The new work requirements include exemptions for pregnant women, caretakers and those living in counties with high unemployment rates and will apply only to those covered through the expansion of Medicaid under the Affordable Care Act. There are currently about 540,000 people on Medicaid in Ohio who receive coverage through the expansion, according to Kaitlin Schroeder of The Dayton Daily News, compared to roughly 2.6 million Medicaid recipients in the state overall.
Once implemented, the work requirements are expected to result in 36,000 people losing their Medicaid eligibility, according to state officials, though critics say the reductions could be significantly larger. Similar work requirements in Arkansas pushed 18,000 people off the Medicaid rolls in six months.
A larger GOP project: The creation of new work requirements is part of a larger effort by Republicans to limit the expansion of Medicaid, says The Wall Street Journal’s Stephanie Armour. Since the Affordable Care Act passed in 2010, 36 states have expanded their Medicaid programs under the ACA and the number of people in the program has grown by 50 percent, from roughly 50 million to about 75 million. But many red-state governors have expressed concerns about the cost of Medicaid expansion and worries about a lack of self-sufficiency among the able-bodied poor, and are embracing new limitations on the program for both fiscal and political reasons.
In 2017, the White House in 2017 gave states the green light to explore ways to limit the reach and expense of their Medicaid programs. Governors have proposed a variety of new rules, which require waivers from the federal government to enact. Kentucky, for example, wants to drug-test Medicaid recipients, and Utah wants a partial expansion and a cap on payments. Kaiser Health News summarizes the variety of waivers states have requested, which are governed by Section 1115 of the Social Security Act, in the chart below.
Legal challenges: Efforts to restrict Medicaid have received legal challenges, and U.S. District Judge James Boasberg blocked work requirements in Kentucky last year. The same judge, who has expressed doubts about the administration’s approach to Medicaid, will rule on the legality of work requirements in both Kentucky and Arkansas by April 1.
The bottom line: The Trump administration is seeking fundamental changes in how Medicaid works. Even if Boasberg rules against work requirements, expect the White House and Republican governors to continue to push for new limitations on the program.
Can Anyone Stop the $38 Billion Airline Fee Squeeze?

U.S. airlines earned $2.6 billion in fees and frequent flier mile sales in 2014, an 18.7 percent increase from 2013, according to an annual report by consultancies IdeaWorks and CarTrawler.
That represents the eighth consecutive year that carriers saw substantial revenue ancillary to ticket sales. Globally, ancillary revenue soared more than 20 percent to $38.1 billion.
“Ancillary revenue is an increasingly important indicator of commercial success, and a major contributor to the bottom line of airlines across the globe,” said Michael Cunningham, CarTrawler’s Chief Commercial Officer, in a statement.
Related: 6 Sneaky Fees that Are Making Airlines a Bundle
By passenger, additional revenue grew by 8.5 percent to $17.49. Low cost carriers increased ancillary revenue by 32.8 percent for the year, or $2.9 billion.
Ten airlines earned two-thirds of the ancillary revenue, led by United Airlines, American/U.S. Airways, and Delta. Delta brought in $350 million through its Comfort Plus program, which allows passengers to pay extra for more legroom and priority boarding.
Among passengers’ most hated fees are checked bag fees. Airlines typically charge $25 for the first bag, $35 for the second, and more than $100 for a third bag.
As frequent fliers turn to branded credit cards as a means of avoiding fees, airlines are still earning money. Last year, American’s Citibank-issued credit card, which gives consumers one free checked bag and priority boarding, yielded an additional $624 million for the carrier last year.
The additional fees are not improving the customer experience. More than 60 percent of consumers surveyed by the U.S. Travel Association in March said they were frustrated with air travel generally.
Memo to Michelle Obama: Americans Still Aren’t Eating Their Greens

Maybe First Lady Michelle Obama should refocus her healthy eating campaign more on adults than children. Fewer than 20 percent of American adults are eating enough fruits and vegetables, newly released data from a Centers for Disease Control and Prevention survey.
The United States Department of Agriculture’s nutrition guidelines recommend that Americans have two to three cups of vegetables every day, along with 1.5 to two cups of fruit. Based on those criteria, only 13 percent of adults in the survey ate enough fruit and a meager 9 percent of individuals ate enough vegetables. These numbers are worse than in years past. Between 2007 and 2010, 76 percent of Americans didn’t consume the recommended amount of fruit and 87 percent failed to eat enough vegetables.
Related Link: The 11 Worst Fast Food Restaurants in America
What’s more, while consumption of fruits and vegetables varies substantially from place to place, the residents of each and every state in the union fell short of the USDA recommendations. In Tennessee, 7.5 percent of residents consume enough fruit, while in Mississippi, a mere 5.5 percent of individuals eat enough vegetables. California ranked highest for eating both fruits and vegetables, but even there, just about 18 percent eat enough fruit and 13 percent eat enough veggies.
“Substantial new efforts are needed to build consumer demand for fruits and vegetables through competitive pricing, placement, and promotion in child care, schools, grocery stores, communities, and worksites,” the CDC report says.
The report comes out after a study published in last month’s JAMA Internal Medicine found that fewer than one-third of Americans are currently at a healthy weight. The majority of individuals are either overweight or obese.
Diane von Furstenberg Will Sell a Purse that Charges Your Phone

Fashion mogul Diane von Furstenberg said she will launch a high-tech purse that automatically—and cordlessly—charges smartphones.
The purse, which does not yet have a price tag, will go on sale in limited edition this holiday season, before rolling out broadly next year. The designer is working with an undisclosed technology partner on the handbag.
"My role in fashion is really solution driven," von Furstenberg said. "I'm always on the go, so [it's important] you have everything at the right time."
The idea of creating a handbag that charges a smartphone isn't entirely new. Kate Spade recently announced that it will launch a similar product line this fall.
Related: 16 Must-Have Products to Make Your Home Smarter Right Now
Von Furstenberg, a regular in Sun Valley, Idaho, took the stage at this year's Allen & Co. conference for a panel on the future of fashion, along with Spanx founder Sara Blakely.
She's there to meet with technology companies as she works to bring fashion into the future.
"Technology is the biggest revolution," von Furstenberg said. "It's such a big part of our lives, we do everything with technology, so it's not even separate anymore. It just is."
Related: 10 Biggest Tech Flops of the Century
Though she doesn't wear an Apple Watch, the designer said she's also interested in wearable technology. At her New York Fashion Week show in September 2012, she sent models down the runway wearing Google Glass.
But von Furstenberg cautions the term "wearable tech" will soon become obsolete.
"Wearable technology won't even be a word anymore, because everything you do will have technology," she said.
Von Furstenberg added that technology isn't just important for the future of fashion products—it's already crucial to their marketing.
"If you're interested in millennials, everyone is on social media and everyone is a brand," she said. "It's very interesting to brands to see how they can work with a generation, who each of them is [their own] brand."
This article originally appeared on CNBC.
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Corporate Sponsors Pass on Women's World Cup Ticker-Tape Parade

While the country celebrates the U.S. Women’s Soccer team’s World Cup Championship with a New York City ticker tape parade, corporations have been reluctant to pony up cash to cover the $2 million celebration.
Major League Soccer, Nike, fod company Mondelez and video game giant Electronic Arts have contributed a total $450,000 toward the parade, leaving New York City to cover the difference, the New York Post reports. That includes the cost of cleanup and security.
By contrast, the 2012 parade that celebrated the New York Giants winning the Super Bowl had more than a dozen corporate sponsors.
Related: For World Cup Hero Carli Lloyd, 16 Minutes Can Mean Millions
City officials told the Post that the dearth of sponsors reflected the short period of time in which the city pulled together plans for the parade. The team is the first women’s squad to receive a New York City ticker tape parade, although the city has honored individual women, such as Olympic athletes and Amelia Earhart.
More than 12,000 people entered a lottery for tickets to the parade, which will feature the team atop patriotic floats moving down the Canyon of Heroes in lower Manhattan as spectators throw confetti from surrounding buildings.
While companies may not have shown much interest in the parade, they are clearly interested in star Carli Lloyd. Her agent has repeatedly received more than 200 inquiries from marketers who want to work with the athlete.
That’s good news for Lloyd, who like all other National Women’s Soccer League players, is subject to a $37,800 salary cap, about one 10th of what the average male Major League Soccer player makes in a year.
Corporate Sponsors Didn't Kick in Much for Women's World Cup Parade

While the country celebrates the U.S. Women’s Soccer team’s World Cup Championship with a New York City ticker tape parade, corporations have been reluctant to pony up cash to cover the $2 million celebration.
Major League Soccer, Nike, fod company Mondelez and video game giant Electronic Arts have contributed a total $450,000 toward the parade, leaving New York City to cover the difference, the New York Post reports. That includes the cost of cleanup and security.
By contrast, the 2012 parade that celebrated the New York Giants winning the Super Bowl had more than a dozen corporate sponsors.
Related: For World Cup Hero Carli Lloyd, 16 Minutes Can Mean Millions
City officials told the Post that the dearth of sponsors reflected the short period of time in which the city pulled together plans for the parade. The team is the first women’s squad to receive a New York City ticker tape parade, although the city has honored individual women, such as Olympic athletes and Amelia Earhart.
More than 12,000 people entered a lottery for tickets to the parade, which will feature the team atop patriotic floats moving down the Canyon of Heroes in lower Manhattan as spectators throw confetti from surrounding buildings.
While companies may not have shown much interest in the parade, they are clearly interested in star Carli Lloyd. Her agent has repeatedly received more than 200 inquiries from marketers who want to work with the athlete.
That’s good news for Lloyd, who like all other National Women’s Soccer League players, is subject to a $37,800 salary cap, about one 10th of what the average male Major League Soccer player makes in a year.